LICENSING: 10050 - CCLR s.11(1) - A licensee must display in a prominent place in the community care facility both the licence, including any terms or conditions of the licence, and the name of the manager.
Observation (CORRECTED DURING INSPECTION): During inspection licensing observed that Manager's name was not posted in the facility. This was corrected during the inspection.This is a repeat contravention from # SMIA-C4EQU2 dated 25 June 2021.
Corrective Action(s): Please ensure that managers name is posted in a visible location in the facility.
Date to be Corrected: 18 August 2023
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11010 - CCLR s.13(1) - A licensee must ensure that a healthy and safe environment is provided at all times while children are under the supervision of employees.
Observation (CORRECTED DURING INSPECTION): The fridge temperature was measured at 6.9 degrees Celsius
Corrective Action(s): Please ensure that the fridge temperature is kept between 0-4 degrees Celsius for safe food storage.Manager corrected this during inspection.
Date to be Corrected: 18 August 2023
PHYSICAL FACILITY, EQUIPMENT AND FURNISHINGS: 11020 - CCLR s.13(2) - A licensee must ensure that the community care facility and the furniture, equipment and fixtures within it are clean and in good repair while children are in attendance.
Observation: During inspection Licensing observed :
-There are various sections of the wall where the paint has started to peel.
-Throughout the facility the lower sections of the walls and cupboard surface area at children level are in need of cleaning.
-In the bathroom the baseboards had excessive build up of dust particles and the lower wall area had visible dirt and water stains
-Lids of the garbage cans in the classroom had dried up food substances and stains on them
-Few bins used for toys have a build up of dust and dirt particles in them.
- Coils inside one of the baseboard heater is accessible to the children. Licensing was concerned that children can get hurt if they put their hands inside it.
Maintaining a general cleanliness of the facility was discussed with the Manager.
Corrective Action(s): Please ensure facility is clean and in good repair.
Date to be Corrected: 21 August 2023
STAFFING: 12040 - CCLR s.19(1)(a) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (a) a criminal record check for the person.
Observation: Licensing reviewed 4 staff files and 1 staff file contained a valid criminal record clearance letter addressed to another agency.
Corrective Action(s): Please ensure all criminal record checks from another facility are obtained through the sharing program of the Criminal Record Review Agency.
Date to be Corrected: 25 August 2023
STAFFING: 12090 - CCLR s.19(1)(f) - A licensee must not employ a person in a community care facility unless the licensee or, in the case of a person who is not the manager, the manager has first met with the person and obtained all of the following: (f) evidence that the person has complied with the Province's immunization and tuberculosis control programs.
Observation (CORRECTED DURING INSPECTION): Immunization status was not obtained for one staff. Manager obtained this from the staff during inspection.
Corrective Action(s): Please ensure that all staff files are complete before they begin work.
Date to be Corrected: 21 August 2023
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: On inspection the Licensing Officer observed expired food & water in the emergency supply kit and not enough supplies for 72 hours.This is a repeat contravention from routine inspection # SMIA-C4EQU2 dated 25 June 2021 and # SMIA-CGXLFN dated 2 Aug 2022.
Corrective Action(s): Please ensure there are enough emergency supplies for all children for up to 72 hours and that all supplies have a current expiration date.
Date to be Corrected: 25 August 2023
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: Files of 5 children were reviewed. Immunization status of one child was missing.
Corrective Action(s): Please ensure children's files are complete before they start attending the program.
Date to be Corrected: 21 August 2023
RECORDS AND REPORTING: 19190 - CCLR s.57(3)(a) - A licensee must have in writing from a parent, and maintain at the community care facility, consent (a) to call a medical practitioner or ambulance in case of accident or illness if the parent cannot immediately be reached.
Observation: 5 Children's files were reviewed and one child's file was missing consent to call a medical practitioner or an ambulance in case of accident if the parent cannot be reached immediately.
Corrective Action(s): Please ensure children's files are complete before they start attending the program
Date to be Corrected: 18 August 2023
|